Organization
KATHLEEN A SIU PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN A SIU D.M.D. (OWNER)
(661) 259-2960
Entity
Organization
Contact information
Practice address
23838 VALENCIA BLVD, 300, VALENCIA, CA 91355-5319
(661) 259-2960
(661) 259-5983
Mailing address
23838 VALENCIA BLVD, 300, VALENCIA, CA 91355-5319
(661) 259-2960
(661) 259-5983
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
28618
CA
1223P0221X
Pediatric Dentistry
Primary
29472
CA
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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